Provider Demographics
NPI:1437775871
Name:K & C HOME AND COMMUNITY SERVICES
Entity Type:Organization
Organization Name:K & C HOME AND COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADIO-SHEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-685-4242
Mailing Address - Street 1:3818 BASTROP ST
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-1402
Mailing Address - Country:US
Mailing Address - Phone:469-685-4242
Mailing Address - Fax:
Practice Address - Street 1:3818 BASTROP ST
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-1402
Practice Address - Country:US
Practice Address - Phone:469-685-4242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health